| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.38 | $50.92 | $105.21 | |
Aetna
| Professional | $1.61 | $1.61 | $1.61 | |
Cigna
| Facility | $1.92 | $2.24 | $2.59 | |
Cigna
| Professional | $1.39 | $1.39 | $1.39 | |
United
| Professional | $1.39 | $1.39 | $1.39 |